TPA Administrator – Group Benefits Programs

Key Responsibilities:

• Administer enrollments, changes, and terminations for group benefits programs, ensuring data accuracy across systems and meeting SLA and KPI standards.
• Support onboarding processes and implementations, resolving eligibility and coverage discrepancies efficiently and accurately.

Billing and Financial Management:

• Manage billing cycles and perform reconciliations to maintain financial accuracy and resolve variances with finance teams and insurance carriers.
• Support audit processes and ensure compliance with financial standards, contributing to the overall integrity of program administration.

Client, Advisor and Carrier Relations:

• Act as a primary operational contact, handling complex inquiries and building strong relationships with clients, advisors, and carriers.
• Provide administrative recommendations and support advisor relationships, ensuring effective communication and problem-solving.

Technology and Process Optimization:

• Utilize the Segic platform and Microsoft 365 tools to streamline administration tasks and support automation initiatives for improved efficiency.
• Participate in system improvements and process optimizations, contributing to the ongoing enhancement of benefits program management.